Procurement Forms
Procurement Forms
Procurement Forms
002
NAME AND ADDRESS OF AGENCY ACCT. CODE
REQUESTING AGENCY
AGENCY CONTROL No.
TEL. NOS.
PLEASE CHECK (√ ) APPROPRIATE BOX ON ACTION REQUESTED ON THE ITEM/S LISTED BELOW
[ ] Please issue common-use supplies/materials per Price List No. __________________________ dated _________________
Mode of delivery: [ ] Pick-up (Fast Lane) [ ] Pick-up (Schedule) [ ] Delivery (door-to-door)
In case fund is not sufficient:[ ] Reduce Quantity [ ] Bill Us [ ] Charge to Unutilized Deposit, APR No.:___________Dat
This form shall be prepared for requisitions of Common-Use goods from the PS Depots & Sub-Depots; and for orders
of Consumables & Non-Common Use Supplies from the PS Main.
ITEM For PS Main-Common Use Supplies, please use Form 001 R or Form 001 B
No. ITEM AND DESCRIPTION/SPECIFICATIONS/STOCK No. QUANTITY UNIT UNIT PRICE AMOUNT
1
2
3
4
5
6
7
8
9
10
11
TOTAL AMOUNT ₱ -
NOTE: ALL SIGNATURES MUST BE OVER PRINTED NAME
STOCKS REQUESTED ARE CERTIFIED TO BE FUNDS CERTIFIED AVAILABLE: APPROVED:
WITHIN APPROVED PROGRAM:
PURCHASE REQUEST
Entity Name: Fund Cluster: 01
PR No.: _________________ Date: ________________
Office /
Resposibility Center Code:
Section:
70010814003
Stock/ Property
No.
Unit Item Description Quantity Unit Cost Total Cost
Purpose:
School
Bidders Specification
Purchaser's (Please include detailed
Item No. Quantity Unit Unit Cost Total Amount ABC
Specifications brand/ specifications in the
space provided)
Please avoid erasure/s, if unavoidable, pls. affix your initials on all erasures.
School Head
We propose and guarantee to supply and deliver any or all items in conformity with the specification and at the price/s we have quoted.
Address
Tel No.:
Fax No.:
Department of Education-Schools Division of Benguet
ABSTRACT OF BIDS
School
ABSTRACT OF BID OF QUOTATION RECEIVED UNDER CIRCULAR PROPOSAL NO. ________ DATED __________ OPENED ON
_____________________ at the .
NAME OF BIDDERS
QUAN ARTICLES AND
ITEM UNIT
TITY DESCRIPTION
Unit Cost Total Cost Unit Cost Total Cost Unit Cost Total Cost
We hereby certify that the bids of quotation received were open at the Award is hereby given to the bidders for items checked in red ink.
date and hour indicated and the prices offered are stated below. Price quoted being the lowest and the most advantageous to the government
School
Gentlemen:
Please furnish this office the following articles subject to the terms and conditions contained herein:
Stock/
Property Unit Description Quantity Unit Cost Amount
No.
-
(Total Amount in Words)
In case of failure to make full delivery within the time specified above, a penalty of one-tenth (1/10) of one percent for every day of delay shall
be imposed.
_______________________
Cluster Bookkeeper